Typically, sexual coercion has been viewed as a less serious form of sexual aggression than attempted rape or rape. However, sexual coercion may be better understood as a qualitatively different type of sexual aggression experience. We examined the correlates of sexual coercion and rape/attempted rape experiences separately among a sample of young women who were at increased risk of sexual victimization as a result of their high levels of sexual activity and alcohol consumption. We hypothesized that personality variables would be associated with sexual coercion but not rape experiences. We found that low self-esteem, low assertiveness, and high sexrelated alcohol expectancies were associated with sexual coercion experiences but not with rape or attempted rape. Higher levels of casual sexual activity and alcohol consumption were associated with both types of experiences. Findings suggest that sexual coercion may be prevented by improving sexual assertiveness and weakening alcohol expectancies to emphasize personal control.

Substantial numbers of mental health clients do not return following their initial therapy visits or drop out of treatment prematurely. Two general classes of strategies designed to reduce premature attrition and enhance treatment participation are reviewed. Research on psychotherapy preparatory techniques (role induction, vicarious therapy pretraining, and experiential pretraining) indicates that these educational techniques are effective in reducing early treatment attrition and may be especially effective with populations at high risk for dropout (e.g., lower socioeconomic groups, chronically mentally ill clients, and institutionalized juvenile delinquents). Motivational interviewing, a technique originally developed for clients with alcohol problems, is designed to reduce client ambivalence toward therapy and change and enhance commitment to and motivation for treatment. Research in the alcohol field suggests that a session of pretreatment motivational interviewing enhances treatment outcome. Both motivational interviewing and psychotherapy preparatory techniques are relatively brief and easy to incorporate into existing mental health care.

Using data from a biracial community sample of adolescents, the present study examined trajectories of alcohol use and abuse over a 15-year period, from adolescence into young adulthood, as well as the extent to which these trajectories were differentially predicted by coping and enhancement motives for alcohol use among the 2 groups. Coping and enhancement motivations (M. L. Cooper, 1994) refer to the strategic use of alcohol to regulate negative and positive emotions, respectively. Results showed that Black and White youth follow distinct alcohol trajectories from adolescence into young adulthood and that these trajectories are differentially rooted in the regulation of negative and positive emotions. Among Black drinkers, coping motives assessed in adolescence more strongly forecast differences in alcohol involvement into their early 30s, whereas enhancement motives more strongly forecast differences among White drinkers. Results of the present study suggest that different models may be needed to account for drinking behavior among Blacks and Whites and that different approaches may prove maximally effective in reducing heavy or problem drinking among the 2 groups.

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A measure of sex-related alcohol expectancies was developed with a representative sample of 916 sexually experienced adolescents (13 to 19 years) who had ever consumed alcohol. Expectancy items represented 3 domains: enhancement of sexual experience, increased sexual risk taking, and disinhibition of sexual behavior. Confirmatory analyses showed that a 3-factor model provided a good fit to the data. Adequate reliability and low-to-moderate correlation among the expectancy measures were also demonstrated. Expectancies for sexual risk taking and disinhibition were found to be more strongly endorsed by male than by female respondents, although these differences were stronger among Black than among White adolescents and increased with age. Overall, results suggest that these scales may have substantial utility for future research. This research was supported by Grant AA0804703 from the National Institute on Alcohol Abuse and Alcoholism awarded to M. Lynne Cooper. We thank Robb Peirce for his help with data management and analysis and Michael Frone for his suggestions regarding data analysis. We also thank two anonymous reviewers for their helpful comments on a draft of this article.